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目的改进大龄腭裂患者的治疗模式,提高大龄腭裂患者术后的腭咽闭合率和语音清晰度。方法对37例年龄大于6岁(含6岁)的腭裂患者进行同期腭裂与腭咽肌瓣咽成形整复术,并对其术后10~15个月的效果进行了随访和语音评估。结果 22例患者术后腭咽闭合完全,15例术后虽仍有腭咽闭合不全,但在鼻咽纤维镜下腭咽闭合度达85%以上;所有患者X线侧位咽腔造影显示软腭与咽后壁贴合;语音检测显示,高鼻音和鼻漏气程度显著下降,辅音清晰度提高。结论本研究中建立的大龄腭裂患者治疗模式可以显著提高腭裂患者术后的腭咽闭合率和语音清晰度,为改善其生存质量创造了条件。
Objective To improve the treatment model of palate elderly patients with cleft palate, improve the cleft palate velopharyngeal closure rate and speech clarity. Methods 37 cases of cleft palate patients older than 6 years old (including 6 years old) were treated with cleft palate and pharyngeal pharyngeal reconstruction of palatopharyngeal pharyngeal flap, and their follow-up and voice assessment were performed 10 to 15 months after operation. Results Twenty-two patients had complete velopharyngeal closure after surgery. Although there were still velopharyngeal insufficiency after operation in 15 patients, the velopharyngeal closure rate was over 85% under nasopharyngeal fibroscopy. All patients showed soft palate with pharyngeal angiography And posterior pharyngeal wall fit; voice tests showed that high nasal and nasal leakage was significantly reduced, consonant clarity increased. Conclusion The treatment model of palate elderly patients with cleft palate created in this study can significantly improve the velopharyngeal closure rate and speech articulation in patients with cleft palate and create the conditions for improving their quality of life.